Displaying 193571-193580 of 1611142 results.
ID:
193571
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
977909
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
67
Qty Limit Days:
30
ID:
193572
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
977915
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
50
Qty Limit Days:
30
ID:
193573
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1117531
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193574
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1116758
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193575
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
543492
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193576
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1440936
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193577
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
309077
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193578
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
313428
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
193579
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
242680
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
960
Qty Limit Days:
30
ID:
193580
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
205292
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
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